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NPI Code Detail

MEDICARE: DR. WESLEY L SPRUILL MD

MEDICARE: DR. WESLEY L SPRUILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician14065AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184618969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESLEY L SPRUILL MD
Provider Business Mailing Address
First Line : PO BOX 10568
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35202-0568
Country : US
Telephone Number : 800-897-6169
Fax Number : 800-897-6170
Provider Business Practice Location Address
First Line : 1050 RUBY TYLER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35404-2958
Country : US
Telephone Number : 205-759-7246
Fax Number : 205-759-7348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/11/2013

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